Provider Demographics
NPI:1437825486
Name:COLLIER CARE HOME, INC
Entity Type:Organization
Organization Name:COLLIER CARE HOME, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANTZ-STUMFOLL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-225-9317
Mailing Address - Street 1:3001 NW VESPER ST
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64015-3104
Mailing Address - Country:US
Mailing Address - Phone:816-225-9317
Mailing Address - Fax:816-229-6231
Practice Address - Street 1:3001 NW VESPER ST
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64015-3104
Practice Address - Country:US
Practice Address - Phone:816-225-9317
Practice Address - Fax:816-229-6231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-19
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility